Mr Travis Lewellen Otto, PSYD - Medicare Psychologist in Tampa, FL

Mr Travis Lewellen Otto, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Tampa, Florida. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 2505 Crowder Ln, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 361-4809.

Mr Travis Lewellen Otto is licensed to practice in Florida (license number PY8595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093065955.

Contact Information

Mr Travis Lewellen Otto, PSYD
2505 Crowder Ln,
Tampa, FL 33629-6253
(813) 361-4809
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Travis Lewellen Otto
GenderMale
SpecialityClinical Psychologist
Experience14 Years
Location2505 Crowder Ln, Tampa, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Travis Lewellen Otto graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1093065955
  • Provider Enumeration Date: 09/18/2012
  • Last Update Date: 09/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9830349265
  • Enrollment ID: I20121022000162

Medical Identifiers

Medical identifiers for Mr Travis Lewellen Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093065955NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY8595 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Travis Lewellen Otto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Travis Lewellen Otto, PSYD
6225 Willet Ct,
Lakewood Ranch, FL 34202-8224

Ph: (813) 361-4809
Mr Travis Lewellen Otto, PSYD
2505 Crowder Ln,
Tampa, FL 33629-6253

Ph: (813) 361-4809

Reviews and Comments


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